auxetic polymers for medical device technology

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Auxetic polymers for medical device technology “Medical and stretchy” Andy Alderson Professor of Smart Materials and Structures Director Industry & Innovation Research Institute [email protected] +44 114 225 3523 http://www.linkedin.com/pub/andrew- alderson/15/123/625

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Page 1: Auxetic polymers for medical device technology

Auxetic polymers for medical device technology

“Medical and stretchy”

Andy Alderson

Professor of Smart Materials and Structures

Director Industry & Innovation Research Institute

[email protected]

+44 114 225 3523

http://www.linkedin.com/pub/andrew-

alderson/15/123/625

Page 2: Auxetic polymers for medical device technology

Auxetic Materials

Page 3: Auxetic polymers for medical device technology

Naturally-occurring auxetic materials

Biomaterialso Cat skino Cow teat skino Carotid arterieso Achilles tendono Stem cell nucleio Amphibian embryo

tissueo Annulus fibrosus

(Chen & Brodland, Journal of the

Mechanical Behaviour of Biomedical

Materials 2 (2009) 494-501)

Minerals & polymerso a-quartzo a-cristobaliteo Mother-of-pearlo Zeoliteso Talco Cellulose

Page 4: Auxetic polymers for medical device technology

Auxetic cat skin

Veronda & Westmann, J. Biomechanics (1970)

Cat skin

Frohlich et al, J. Zool. Lond. (1994)

Veronda & Westmann, J. Biomechanics (1970)

In-plane

Thru’

thickness

Page 5: Auxetic polymers for medical device technology

Poisson’s ratio:xy = -(y/x)

Auxetic Material: Material with a negative Poisson’s ratio

+ve xy

-ve xy

Page 6: Auxetic polymers for medical device technology

Auxetics: a route to

enhancing other properties

G = Shear modulus

Maintains shape

Maintains volume

K = Bulk modulus

12

213

K

G

For isotropic materials: -1 < < +0.5

Page 7: Auxetic polymers for medical device technology

212

r

ET

12

213

K

G

Auxetics: a route to

enhancing other properties

Shear rigidity

Fracture toughness

For isotropic materials:

-1 < < +0.5

For isotropic materials: -1 < < +0.5

Page 8: Auxetic polymers for medical device technology

212

r

ET

12

213

K

G

Auxetics: a route to

enhancing other properties

3/2

21

EH

Shear rigidity

Indentation

resistance

Fracture toughness

For isotropic materials:

-1 < < +0.5

For isotropic materials: -1 < < +0.5

Page 9: Auxetic polymers for medical device technology

E

U v6

21 2

212

r

ET

12

213

K

G

Auxetics: a route to

enhancing other properties

3/2

21

EH

Shear rigidity

Indentation

resistance

Fracture toughness

Volumetric strain

energy dissipation

For isotropic materials:

-1 < < +0.5

For isotropic materials: -1 < < +0.5

Page 10: Auxetic polymers for medical device technology

E

U v6

21 2

212

r

ET

12

213

K

G

Auxetics: a route to

enhancing other properties

3/2

21

EH

Shear rigidity

Indentation

resistance

Fracture toughness

Volumetric strain

energy dissipation

Critical resonance

frequency

For isotropic materials:

-1 < < +0.5

𝑓𝑐 ∝ 1 − 𝜈2 Τ1 2

For isotropic materials: -1 < < +0.5

Page 11: Auxetic polymers for medical device technology

Ability to naturally adopt dome

shape when bent out of plane

E

U v6

21 2

212

r

ET

Curvature

Non-auxetic Auxetic

12

12

RR

12

213

K

G

Auxetics: a route to

enhancing other properties

3/2

21

EH

Shear rigidity

Indentation

resistance

Fracture toughness

Volumetric strain

energy dissipation

𝑓𝑐 ∝ 1 − 𝜈2 Τ1 2 Critical resonance

frequency

For isotropic materials:

-1 < < +0.5

For isotropic materials: -1 < < +0.5

Page 12: Auxetic polymers for medical device technology

https://www.d3o.com/wp-content/uploads/2016/09/D3O-TRUST-Helmet-pad-system.pdf

https://wavecel.trekbikes.com/us/en_US/

WaveCel - Bontrager

Page 13: Auxetic polymers for medical device technology

Under Armour 3D-printed sports shoesUA Architech - latticed upper made from Clutchfit Auxetic materials

https://www.youtube.com/watch?v=3fH9UVEfLyo

Nike Womens Free Run Flyknithttps://www.youtube.com/watch?v=3M5jEB4-H0M

PUMA Calibrate Runnerhttps://www.youtube.com/watch?v=K8pa

hZAmAV0&feature=youtu.be

Page 14: Auxetic polymers for medical device technology

Am I in the right place?

The Poisson’s ratio () scale

0 +0.5-1

Cork

‘Typical’ materials

Rubber

a-cristobalite

Crystalline cellulose

Microporous polymers

Annulus fibrosus

Auxetic or ‘anti-rubber’ materials

Annulus fibrosus

Page 15: Auxetic polymers for medical device technology

Auxetic elastomer developments

• Auxetic fabrics containing elastomeric fibres

• Auxetic fibre-reinforced elastomer composites

• Auxetic Liquid Crystal Elastomers

Page 16: Auxetic polymers for medical device technology

• Made on commercial warp knitting

machine

• Commercially-available,

conventional yarns

– 480dtex Dorlastan V500

– Polyester monofilament of 0.15 and

0.25mm diameters

• Apparel applications

– Comfort, fit, breathable garments

• Healthcare applications

– Breathable wound-healing

bandages

Sara Lee Branded Apparel/Hanes

Brands Inc/Global Composites

Group

PCT Patent Publication Nos.

WO2008/016690; WO2010/125397

Fabrics:Auxetic fabric structure

Page 17: Auxetic polymers for medical device technology

WARP KNIT STRUCTURES BASED ON TRIANGULAR

LATTICE GEOMETRY

Page 18: Auxetic polymers for medical device technology

WARP KNIT STRUCTURES BASED ON TRIANGULAR

LATTICE GEOMETRY

Page 19: Auxetic polymers for medical device technology

•Negative in-plane or out-of-plane Poisson’s ratios possible

for certain lay-up sequences

Auxetic composites:Angle-ply laminates

Page 20: Auxetic polymers for medical device technology

CLT predictions for in-plane Poisson’s ratio

xy as a function of angle q for various fixed

angle a values in an unbalanced

graphite/polyurethane laminate with a lay-up

of [q/a]s

L. D. Peel, Phys. Stat. Sol. B 244(3) (2007) 988

CLT predictions vs experiment as a function

of angle q for unbalanced [θ2/302]s and

balanced angle-ply [±θ/±30]sgraphite/polyurethane laminates

Auxetic fibre-reinforced elastomer composites

Page 21: Auxetic polymers for medical device technology

Auxetic Liquid Crystal Elastomers

Page 22: Auxetic polymers for medical device technology

Crystalline cellulose – Kraft cooked spruce

Experimental data

Tc [min]

Poisson’s ratios

31

(before yield)

31

(after yield)

120 -1.06±0.53 -0.98±0.46

150 -0.91±0.25 -1.00±0.25

180 -0.76±0.3 -0.86±0.25

210 -1.17±0.26 -1.05±0.26

240 -0.26±0.15 N/A

M. Peura, et al (2006),

Biomacromolecules, 7, 1521-1528

x3

x1

x3

x2

Page 23: Auxetic polymers for medical device technology

• 3 (3) > 0

• 1 > 0 → 31 < 0

• 2 < 0 → 32 > 0

Page 24: Auxetic polymers for medical device technology

Applying the cellulose chain model to

mesogen rotation in auxetic LCEs

Shruti Mandhani

MPG / RIEG Webinar - Elastomers and Polymers - Can the demand for improved sustainability be satisfied?16th November 2020

Page 25: Auxetic polymers for medical device technology

MERI-BMRC-SCH collaboration:Auxetic scaffolds for tissue engineering

Cell growth & proliferation #11yr u/g placement

student: Jordan RoeSupervisors:

C. Le Maitre (BMRC), AA, N. Jordan-Mahy

(BMRC) & P. Godbole(SCH)

2015-2016

Cell growth & proliferation #2

1yr RA: Paul MardlingSupervisors:

C. Le Maitre (BMRC), AA, N. Jordan-Mahy

(BMRC) & P. Godbole(SCH)2017

Tissue Engineering

VCS PhD student: Paul MardlingSupervisors:

C. Le Maitre (BMRC), AA, N. Jordan-Mahy

(BMRC)Advisor: P. Godbole

(SCH)2018-2021

Page 26: Auxetic polymers for medical device technology

Why auxetic scaffolds?

• Increasing number of natural soft biological tissues reported to display auxetic behaviour

• Preliminary report (Park 2013) that auxetic PU foam scaffold under compression leads to enhanced physical stimulation for cellular proliferation during cell cultivationo 1.3 times higher cellular proliferation rate 3 days after cell

seeding

o 1.5 times higher amount of collagen produced by the cells after 3

and 5 days in culture

Page 27: Auxetic polymers for medical device technology

PhD: Investigating the Use of Auxetic

Materials Within Tissue Engineering

Aim/Objectives Methodology

Create auxetic scaffolds Thermomechanical triaxial compression

Assessment of mechanical properties 3D Digital image correlation

Culture human cells within auxetic scaffolds Various primary cell types seeded within auxetic scaffolds and cultured for up to 4 weeks.

Assessment of cell culture Histology:• Haematoxylin and Eosin : Cell morphology• Masson’s trichrome : Extracellular matrix• Immunohistochemistry: Cell markers

Culture human cells within auxetic scaffolds under physiological load

Using a bioreactor to grow cell seeded scaffolds under cyclic physiological load.

Assessment of cell culture Histology:• Haematoxylin and Eosin : Cell morphology• Masson’s trichrome : Extracellular matrix• Immunhistochemistry: Cell markers

Page 28: Auxetic polymers for medical device technology

Key results and outcomes/conclusions to date

• Development of auxetic scaffolds successful– Another novel scaffold currently in development

• Cell culture of seeded scaffolds for 4 weeks– Cells attach– Proliferate– Currently checking differentiation status

• Cell culture under cyclic physiological load– ongoing

Page 29: Auxetic polymers for medical device technology

SEM & Histology comparison

Page 30: Auxetic polymers for medical device technology
Page 31: Auxetic polymers for medical device technology

3D DIC Tissue samples

Page 32: Auxetic polymers for medical device technology

Composite Foam-

Hydrogel Scaffold

Converted

• xxxxx

Converted containing Hydrogel

Com

posite S

caffold

Page 33: Auxetic polymers for medical device technology

Storage and release of guest material:High volume change (variable porosity membranes)

Movie courtesy of BNFL (source: BNFL ‘World Beating Science’ CD-ROM)

Strain in loading direction

0.000 0.004 0.008 0.012

n/n 0

0.5

0.6

0.7

0.8

0.9

1.0

1.1

x ;

xy= -1.4

y ;

yx= -0.18

No.

blo

cked p

ore

s

Page 34: Auxetic polymers for medical device technology

‘SMART’ BANDAGE: IMPREGNATED AUXETIC FILAMENTS

Bandage applied

to wound

• bandage consists of

auxetic filaments

impregnated with

wound-healing agent

Infected

wound swells

• bandage stretches

• filaments stretch

• filament micropores open

(auxetic effect)

• release of wound-healing

agent starts

Wound heals

• swelling decreases

• bandage relaxes

• filaments relax

• filament micropores close

• release of wound-healing

agent stops

A.Alderson, Presentation to Engineering Council 2001

A.Alderson, K.L.Alderson, Technical Textiles International, 14(6) (2005) 29.

Page 35: Auxetic polymers for medical device technology

Healthcare case study: the LaparOsphereTM

• 3 million abdominal laparoscopic (key-hole) procedures are undertaken each year

• Expect increasing use of laparoscopic techniques to reduce patient trauma, speed up operations and reduce healthcare costs

• CO2 insufflation currently used to visualise the area of interest and create a space to operate within. Issues include:

– Raised abdominal pressure can result in reduced heart and lung function, hypercapnia and hypoxaemia

– CO2 losses due to the use of suction devices and leakage

– Difficulties in using electrosurgical and laser based cutting and sealing devices

– Requirement for additional and frequent organ retraction

Page 36: Auxetic polymers for medical device technology

LaparOsphereTM

Innovative new device for space creation and organ retraction in laparoscopic surgery

(Dr James Corden (TrusTECH), “Auxetic Technology in Improving Healthcare”,

Materials KTN workshop, 4th September 2012)

Potential to contribute to cost savings, reduced lengths of stay, reduced complications

and reduced adverse events associated with laparoscopic procedures

• Provides improved access and visibility for the surgeon

• Eliminates patient side effects associated with CO2 insufflation

• Enables use of suction without deflation

• Improved use of thermal cutting systems

• No need for multiple gas tight access ports

• Eliminates recurrent deflation caused by CO2

leaks

• No requirement for medical grade CO2

• With its innate retraction function on inflation, reduces need for additional instruments

Page 37: Auxetic polymers for medical device technology

Deployable auxetic cylinders

PhD student: Dignesh Shah

Page 38: Auxetic polymers for medical device technology

Sector case study: Healthcare

Auxetic foam pads will improve wearer

acceptance and compliance in hip protector

devices due to:

• improved comfort/fit (double curvature)

• enhanced energy absorption (impact

response)

• lower device weight and/or volume

Hip implants with auxetic mesh stems

provide

• improved match to bone mechanical

properties

• reduced ‘stress shielding’

• a compensation mechanism for

loosening of the stem over time -

extending device lifetime and time

between implant replacement operations

Deployable gradient

auxetic structures for

space creation and

organ retraction in

keyhole surgery

The 'smart bandage' concept delivers controlled drug release

from wound dressings in response to swelling of the wound

Gradient one-piece foams

mimic the concentric core-

sheath structure of the

natural intervertebral disc.

The auxetic sheath

reduces disc bulge under

compression to reduce

lower back pain